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NPI Code Detail

MEDICARE: MRS. NANCY BELL HOLDEN ASSOCIATE DEGREE

MEDICARE: MRS. NANCY BELL HOLDEN ASSOCIATE DEGREE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor0307CA

General Provider Information

NPI Number : 1083711774
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NANCY BELL HOLDEN ASSOCIATE DEGREE
Provider Business Mailing Address
First Line : 6225 VERNON WAY
Second Line :
City : CARMICHAEL
State : CA
Zip : 95608-5336
Country : US
Telephone Number : 916-488-7045
Fax Number :
Provider Business Practice Location Address
First Line : 3307 BROADWAY
Second Line : SUITE 200
City : SACRAMENTO
State : CA
Zip : 95817-2821
Country : US
Telephone Number : 916-454-4242
Fax Number : 916-454-2930
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2006
Last Update Date : 07/09/2007

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